TopMedTalk
829 episodes - English - Latest episode: over 4 years ago - ★★★★★ - 23 ratingsTopMedTalk for the latest medical news surrounding Anaesthesia, Perioperative Care and Enhanced Recovery. Live updates from conferences; Journal Club; Techno Talk and Hot-Topic podcasts. Continuing Medical Education (CME) on the go
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Episodes
Length of stay after Major Surgery. Less than 3 days with >90% mobilised on day 1.
August 30, 2017 13:57 - 9 minutes - 4.33 MBDiscussion focused on: outcomes, length of stay and DREAMS (Drinking, Eating and Mobilising) within hours after major surgery, all key process and outcome measures. This in depth discussion relates to the recently published consensus paper from the Perioperative Quality Initiative. Monty Mythen and Joff Lacey with Mike Grocott presenting with contributions from Dr Julie Thacker, Colorectal Surgeon from Duke University and President of the American Society of Enhanced Recovery and Dr Tim Mi...
Critical Care Provision after Major Surgery
August 30, 2017 13:52 - 2 minutes - 1.14 MBWhat is the SNAP-2 project? This piece explains in detail, the 2nd Sprint National Anaesthesia Project: Epidemiology of Critical Care provision after Surgery (SNAP-2: EpiCCS) SNAP-2: EpiCCS will describe the epidemiology of perioperative risk, outcome, critical care referral and admission after inpatient surgery in the UK. It also aims to examine whether planned postoperative critical care admission is effective as an intervention to reduce postoperative morbidity. http://www.niaa-hsrc.o...
Bowel Prep for colorectal surgery patients on enhanced recovery pathways?
August 30, 2017 13:50 - 4 minutes - 2.08 MBBowel Prep and Enhanced Recovery After Surgery. Monty Mythen interviewing Dr Julie Thacker, President of the American Society of Enhanced Recovery and a Colorectal Surgeon at Duke, USA. Dr Thacker explains the consensus statement from ASER and the Perioperative Quality Initiative (http://www.poqi.org). Taken from a longer conversation here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/ Join in the debate: [email protected]
Too many patients presenting for surgery are malnourished. We need to do more to fix this.
August 30, 2017 13:48 - 5 minutes - 2.53 MB"More than half our patients who come to us for surgery with enhanced recovery are malnourished"; nutrition for patients scheduled for major surgery. Monty Mythen and Joff Lacey speak with Dr Paul E Wischmeyer, Professor of Anesthesiology and Surgery at Duke University School of Medicine. Hear more from Dr Wischemeyer on YouTube: https://www.youtube.com/watch?v=XAYrjf1dhJU This piece is taken from a longer TopMed talk conversation which you can hear in full here: http://www.topmedtalk....
Fit for Surgery? Can exercise fight cancer?
August 30, 2017 13:47 - 3 minutes - 1.83 MBFit 4 Surgery School and can exercise help fight cancer. Monty Mythen and Joff Lacey talk to Professor Mike Grocott about the 'pre-habillitation re-habilitation' on day one of the ASER 2017 meeting in Washington DC. Prof Grocott also gives more detail on on-going research that is exploring the impact of exercise on cancer therapy. For more CME read "Re-designing the pathway to surgery: better care and added value" in Perioperative Medicine here: https://perioperativemedicinejournal.biome...
What I tell my patients to expect after colorectal surgery.
August 30, 2017 13:43 - 3 minutes - 1.43 MBColorectal surgery and Enhanced Surgical Recovery. Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and Dr Julie Thacker and president elect at ASER. This conversation is taken from a longer piece found here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/ Join the debate: [email protected]
Goals for Short Term Recovery after Major Surgery
August 30, 2017 13:39 - 2 minutes - 1.21 MB(http://www.ebpom.org/EBPOM-USA) about getting back to normal after major colorectal surgery. Attend our next meeting: http://www.ebpom.org/EBPOM-USA Monty Mythen speaks with his guest Dr. Julie Thacker is an Associate Professor of Surgery at Duke University and president elect at ASER. This taken from a longer conversation here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/
Measuring Outcomes following Surgery.
August 30, 2017 13:11 - 9 minutes - 4.44 MBMeasuring Outcomes Monty Mythen and Joff Lacey talk to Prof Mike Grocott (UK), Tim Miller (USA) and special guest Dr Ramani Moonesinghe about outcomes from major surgery for patients on enhanced recovery pathways. Dr Moonesinghe also talks in some detal about the UK perioperative quality improvement program (https://pqip.org.uk/content/home). "A multidisciplinary initiative supporting local quality improvement to benefit patients undergoing major surgery." Attend our next meeting: ht...
The Perioperative Quality Initiative at ASER 2017
August 30, 2017 13:08 - 4 minutes - 2.03 MBDiscussion of the ASER and POQI papers of 2017. Joff Lacey and Monty Mythen talk to Dr Tim Miller, Anaesthesiologist at Duke and vice-president of the American Society of Enhanced Recovery. Recorded on day one of ASER 2017 meeting in Washington DC this interview is taken from a longer conversation which you can find here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/ Join in the debate: [email protected]
Enhanced Surgical Recovery: Goal Directed for all ESR Patients? DR Tim Miller, Duke, USA
August 30, 2017 12:59 - 5 minutes - 2.3 MBDr Tim Miller anaesthesiologist at Duke Medical Centre and Vice President of ASER on Fluid Management in ESR and the recent guidelines from ASER and The Perioperative Quality Initiative (POQI http://www.poqi.org). For more come to our meetings: http://www.ebpom.org/EBPOM-USA This highlight clip is taken from a longer conversation to be found here: http://www.topmedtalk.com/aser-ebpom-2017-pod-two-live-from-washington-dc/
Perioperative Fluid Management. Get that i.v. down ASAP!
August 30, 2017 12:50 - 8 minutes - 4.1 MBReflections on ASER Fluid management; NPO; preop drinks and keeping the i.v down. Monty Mythen is presenting with his guest Dr Scott Brudney, Professor, Departments of Anaesthesiology and Internal Medicine, University of Manitoba, Winnipeg, Canada. "AmericanSociety for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management withinan enhanced recovery pathway for colorectal surgery." https://perioperativemedicinej...
Enhanced Surgical Recovery: Tackling the Narcotic Crisis
August 30, 2017 12:46 - 5 minutes - 2.63 MBThe horrors of 'the opioid crisis'. The fuller version of this piece is to be found here: http://www.topmedtalk.com/aser-ebpom-2017-recap-pod-three-live-from-london/ Featuring Joff Lacey and Monty Mythen with their guest Desiree Chappell, CRNA from Louisville Kentucky and Board Member of ASER on Narcotics in Enhanced Surgical Recovery. Check out EBPOM's meetings here: http://www.ebpom.org/EBPOM-USA
ERAS: Team working and managing change
August 30, 2017 12:34 - 2 minutes - 1.26 MBDr Julie Thacker, President of ASER talking to TopMedTalk Radio live at ASER 2017, Washington DC, USA. Multidisciplinary teams and managing change - 'it's all about the patient'.
EBPOM 2017 - Pod Two - LIVE from London
July 26, 2017 12:48 - 26 minutes - 12.3 MBThe team begin with a fascinating discussion regarding statistics and the assessment of risk. The generalised risks of surgery and the way in which NELA (National Emergency Laparotomy Audit) data may soon make it possible to work out specific odds for a specific patient. Handling modifiable risk factors; how do we get patients ready for surgery, particularly if they are suffering from comorbidities? A patient may need an operation but is it worth asking, do they need it now? How can we ...
EBPOM 2017 - Pod One - LIVE from London
July 26, 2017 12:46 - 35 minutes - 16 MBThis discussion, recorded on day one of EBPOM 2017, a truly international gathering with many countries represented. The Intraoperative hypotension is discussed. New information regarding cognitive function for patients raises big questions. Should shared decision making be re-evaluated? The team then discuss the Perioperative Quality Initiative (POQI) and new information regarding intraoperative hypotension. How rapidly should you attend to fluctuations? What is an appropirate respon...
ASER/EBPOM 2017 Recap - Pod Three - LIVE from London
July 26, 2017 12:42 - 1 hour - 28.5 MBDiscussion includes a recap of the last few podcasts. Desiree Chappell joins us to update the team on 'the opioid crisis'; 50 overdoses in a twenty hour period reported in Kentucky? Can a perioperative multimodal approach to pain management help tackle it? How important is managing patient expectations as regards pain? Dr Ramani Moonesinghe, Director of the Health Services Research Centre at the RCoA, discusses patient data. Why is important to report both median and mean length of stay ...
ASER/EBPOM 2017 - Pod Two - LIVE from Washington DC
July 26, 2017 12:40 - 31 minutes - 14.5 MBIn this piece you will hear more discussion regarding the POQI papers, a growing concensus on goal directed fluid therapy and the move away from opioids. One of the big stories, The American College of Surgeons's announcement that ERAS is to be rolled out to more than 750 hospitals, is also discussed. The POQI (Perioperative Quality Initiative) papers on outcomes and fluid management are discussed. The outcomes paper offers a framework for how data on ERAS might be collected. How quickly...
ASER/EBPOM 2017 - Pod One - LIVE from Washington DC
July 26, 2017 12:39 - 29 minutes - 13.4 MBASER 2017 a “truly multidisciplinary conference” and "one of the best ones yet"; looking to continue to increase membership and push further education; taking on the challenge of applying new ideas on site; the challenge of reaching both surgeons and anaesthetists; tips for people trying to engage multidisciplinary teams and also overcoming concerns related to perioperative surgery by 'keeping it about the patient, don’t give it a name, focus on outcomes and remembering that data talks'. ...